DR. ANDREW L. WONG (NPI# 1396063053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396063053 |
| Entity Type | Individual |
| Full Name | DR. ANDREW L. WONG |
| Credential | PH.D. |
| Practice Address |
8700 Beverly Blvd West Hollywood CA 90048-1804 |
| Mailing Address |
Po Box 512717 Los Angeles CA 90051-0717 |
| Practice Telephone | 3104233933 |
| Practice Fax Number | 3104230153 |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2019-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY30059 | CA | Behavioral Health & Social Service Providers |
| N | 103G00000X | Clinical Neuropsychologist | 2943 | OR | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
30059 | CA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
2943 | OR | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
6301016179 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1255 Hilyard St, Eugene, OR 974013501 | 4582056969 | 4582095013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710366232 | Andrew Wong | Internal Medicine | 111 S 11th St Ste 8290, Philadelphia, PA 19107-4824 | 2015-05-29 |
| 1043605132 | Andrew K Wong | Podiatrist | 831 56th St Fl 1, Brooklyn, NY 11220 | 2015-04-06 |
| 1619314796 | Andrew Wong | Family Medicine | 1929 W Fillmore St, Phoenix, AZ 85009-3812 | 2013-05-29 |
| 1407172521 | Andrew Wae Wong | Psychiatry & Neurology | 4402 Vance Jackson Rd Ste 214, San Antonio, TX 78230 | 2010-04-14 |
| 1508099938 | Andrew C Wong | Dentist | 3900 Newpark Mall Road, Suite 204, Newark, CA 94560-5241 | 2009-09-02 |
| 1639213150 | Andrew Leung-doon Wong | Internal Medicine | 4701 Sangamore Rd Ste N270, Bethesda, MD 20816-2528 | 2007-02-17 |
| 1851319834 | Andrew C Wong | General Practice | 259 Meridian Ave Ste 15, San Jose, CA 95126-2905 | 2006-07-17 |
| 1578543963 | Andrew Ki Wong | Internal Medicine | 3443 Villa Lane, Suite 2, Napa, CA 94558-6417 | 2006-01-20 |
| 1336756048 | Andrew Wong | Behavior Technician | 3745 Long Beach Blvd, Long Beach, CA 90807-3340 | 2020-09-26 |
| 1659981751 | Andrew Wong | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-08-04 |
| Street Address |
8700 BEVERLY BLVD |
| City | WEST HOLLYWOOD |
| State | CA |
| Zip Code | 90048-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013910983 | Denise A Barbuto | Specialist | 8700 Beverly Blvd, Rm 8725, West Hollywood, CA 90048-1804 | 2005-05-24 |
| 1609481688 | Shawn Younessi Md Inc | Internal Medicine | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-09-15 |
| 1447865860 | Elyssa Bangunan Rivero | Nurse Practitioner | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-09-11 |
| 1508471301 | Matthew Ryan Beckelman | Nurse Practitioner | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-09-09 |
| 1255941514 | Josias Cerritos Escobar | Nurse Practitioner | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-08-03 |
| 1841818945 | Jocelyn Chaing | Pharmacist | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-07-06 |
| 1992322200 | Kessia Reis | Nurse Anesthetist, Certified Registered | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-07-02 |
| 1154947695 | Prime 5 Medical Group Inc | Hospitalist | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-06-21 |
| 1770108672 | Pegah Panirian | Podiatrist | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-06-16 |
| 1891310934 | Steven Heer | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407224512 | Ann Yeh Gottuso | Clinical Neuropsychologist | 8700 Beverly Blvd Ste 7215, West Hollywood, CA 90048-1804 | 2015-09-04 |
| 1518442110 | Bryce A. Erich | Clinical Neuropsychologist | 8700 Beverly Blvd Ste 7215, West Hollywood, CA 90048-1804 | 2018-09-28 |
| 1154819514 | Erin Michelle Moniz | Clinical Neuropsychologist | 8700 Beverly Blvd Ste 7215, West Hollywood, CA 90048-1804 | 2018-05-01 |
| 1912495359 | Kendal Lynn Maxwell | Clinical Neuropsychologist | 8700 Beverly Blvd Ste 7215, West Hollywood, CA 90048-1804 | 2018-04-30 |
| 1427112671 | Martin Jerold Stern | Clinical Neuropsychologist | 8700 Beverly Blvd, Cedars-sinai Medical Center N Tower Rm 7215, West Hollywood, CA 90048-1804 | 2006-12-21 |
| 1326020991 | Mark Stephen Alfano | Clinical Neuropsychologist | 8700 Beverly Blvd, Room 7215, West Hollywood, CA 90048-1804 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455108 | Chelsea Vilinskas | Clinical Neuropsychologist | 2624 Larkey Ln, Walnut Creek, CA 94597-2439 | 2020-10-22 |
| 1417554049 | Andrea Alioto | Clinical Neuropsychologist | 247 San Carlos Ave, Redwood City, CA 94061-3518 | 2020-10-06 |
| 1265045975 | Well Psychology, Inc. | Clinical Neuropsychologist | 3525 Del Mar Heights Rd # 1881, San Diego, CA 92130-2199 | 2020-08-24 |
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1437767399 | Ni Sun-suslow | Clinical Neuropsychologist | 220 Dickinson St # B, San Diego, CA 92103-2071 | 2020-07-16 |
| 1366061707 | Talia Rose Seider | Clinical Neuropsychologist | 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 | 2020-04-15 |
| 1699394270 | Colin Jarred Gallagher | Clinical Neuropsychologist | 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 | 2020-04-13 |
| 1649807058 | Nicholas S. Thaler Phd A Psychological Corporation | Clinical Neuropsychologist | 1526 14th St Ste 109, Santa Monica, CA 90404-3320 | 2020-03-25 |
| 1447890116 | Hussah Alkharafi | Clinical Neuropsychologist | 2720 Neilson Way # 5701, Santa Monica, CA 90405-4060 | 2020-01-10 |
| 1609414788 | Linda Rice | Clinical Neuropsychologist | 617 Bluegrass St, Simi Valley, CA 93065-5460 | 2019-12-19 |
| Find all providers with the same taxonomy | ||||
| City | WEST HOLLYWOOD |
| Zip Code | 90048 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.